| NPI | 1164510236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX T4360) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A100078) |
| 208600000X Surgery (Licence: TX T4360) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0055611) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-11-08 |